Voice for Life Conference 2017 - Registration Form

This form should be used to register for the Voice for Life Conference 2017, in Queenstown, New Zealand.

Once you have submitted this form, you will recieve an email with instructions on how to complete your registration via bank deposit or cheque.

Full Name
*

Prefix First Name Last Name

E-mail
*

Contact Number
*

-
Area Code Phone Number

Postal Address
*

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Conference Sessions & Accommodation Options

This year's Voice for Life conference is hosted at the Mecure Hotel in Queenstown.

Accommodation is also available at the Mecure hotel at Voice for Life bulk rates, and includes breakfast.

Important note

If you are registering for a double or twin, only one delegate needs to select and pay for accommodation in the form below.

The second delegate simply needs to fill in the text box with the name of the person they are sharing the room with.

Please select from the options below.
*

Conference: Friday evening (inc. supper)
$
25.00
NZD

Conference: Saturday, inc. lunch
$
75.00
NZD

Conference: Saturday Celebration Dinner (7pm - late)
$
45.00
NZD

Conference: Sunday morning (exc. lunch)
$
22.00
NZD

Conference: Sunday lunch
$
24.00
NZD

Accommodation Option #1: Single
$
195.00
NZD

Options

Accommodation Option #2: Twin Share
$
225.00
NZD

Options

Accommodation Option #3: Double
$
225.00
NZD

Options

If you are sharing accommodation with another delegate (twin share or double), please state their name below. Note: only one delegate needs to pay for accommodation (above).

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Preferred Payment Method (payment details will be included in your confirmation email)
*

Bank Deposit Cheque Other option

Transport

If you are flying to/from Queenstown, we may be able to either provide transport for you or organise a group shuttle for yourself and other delegates arriving at a similar time. This will be confirmed in the week prior to conference.

Note: shuttle costs will apply, and must be paid in cash on pickup/drop off.

Would you like us to help you arrange transport to/from the conference venue?

No thanks, I'll make my own way there Yes please! - I'll need a ride from Queenstown Airport to the conference on Fri avo/evening or Sat morning Yes please! - I'll need a ride from conference to Queenstown Airport (Sun 10am - 3pm only)

Arrival Flight Number

Arrival Time

-
Month
-
Day Year

at

:
Hour Minutes

Departure Flight Number

Departure Time

-
Month
-
Day Year

at

:
Hour Minutes

If you haven't yet booked flights, you can email your flight details later to info@voiceforlife.org.nz

VFL AGM

Are you attending the Voice for Life AGM on Saturday afternoon as a branch delegate?

Yes No

If yes, please state your branch name below.

Special Requests

If you have any questions, comments or special dietary requirements, please let us know here.